UCSF MEDICAL CENTER (NPI# 1790905156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790905156 |
| Entity Type | Organization |
| Organization Name | UCSF MEDICAL CENTER |
| Practice Address |
San Quentin State Prison San Quentin CA 94964 |
| Mailing Address |
1689 19th Ave San Francisco CA 94122-4517 |
| Practice Telephone | 4154541460 |
| Mailing Telephone | 4154207572 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-12-04 |
| Authorized Official Name | TEH L LEE (NURSE PRACTITIONER) |
| Authorized Official Telephone | 4154207572 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP12252 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841562352 | Ucsf Medical Center | General Acute Care Hospital | 1875 Sacramento St, Apt 1, San Francisco, CA 94109-3565 | 2012-01-30 |
| 1275767683 | Ucsf Medical Center | General Acute Care Hospital | 505 Parnassus Ave Rm 1319b, San Francisco, CA 94143-2204 | 2009-05-13 |
| 1386867851 | Ucsf Medical Center | Clinic/Center | 400 Parnassus Avenue Plaza Level, San Francisco, CA 94143-0001 | 2007-04-11 |
| 1326566050 | Ucsf Medical Center | General Acute Care Hospital | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2017-09-01 |
| 1356880769 | Ucsf Medical Center | Clinic/Center | 1545 Divisadero St, San Francisco, CA 94143-3400 | 2017-02-17 |
| 1013366269 | Ucsf Medical Center | General Acute Care Hospital | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2016-06-08 |
| 1578928081 | Ucsf Medical Center | Genetic Counselor, MS | 1600 Divisadero St, 3rd Floor, Cancer Risk Program, San Francisco, CA 94143-3010 | 2015-12-28 |
| 1700258654 | Ucsf Medical Center | General Acute Care Hospital | 400 Parnassus Ave # A-68, Department of Rehab Services, San Francisco, CA 94143-2202 | 2015-10-30 |
| 1629449921 | Ucsf Medical Center | General Acute Care Hospital | 400 Parnassus Ave, A-68, San Francisco, CA 94143-2202 | 2015-10-13 |
| 1992176390 | Ucsf Medical Center | General Acute Care Hospital | 400 Parnassus Ave # A-68, San Francisco, CA 94143-2202 | 2015-10-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UCSF MEDICAL CENTER ADMINISTRATION | 533 Parnassus Ave Ste U426, San Francisco, CA 94143-2208 |
| Street Address |
SAN QUENTIN STATE PRISON |
| City | SAN QUENTIN |
| State | CA |
| Zip Code | 94964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104373570 | Jane Lovelle | Social Worker | San Quentin State Prison, San Quentin, CA 94964 | 2016-09-02 |
| 1144621368 | Eric Monthei | Psychologist | San Quentin State Prison, San Quentin, CA 94964 | 2014-09-08 |
| 1982025755 | Hillel Greene | Social Worker | San Quentin State Prison, Central Health Services Building 4th Floor, San Quentin, CA 94964 | 2013-12-22 |
| 1295919074 | Robert E. Compton | Dentist | San Quentin State Prison, San Quentin, CA 94964-9999 | 2007-12-28 |
| 1093917155 | Clarene Lulu David | Internal Medicine | San Quentin State Prison, San Quentin, CA 94964 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760636864 | Harun Evcimen | Psychiatry & Neurology | 1 Main St. H-unit Yard Tele Psychiatry, Cdcr San Quetin State Prison, San Quentin, CA 94964 | 2008-11-17 |
| 1477613115 | Laureen Linda Jang | Dentist | San Quentin, San Quentin, CA 94964 | 2006-12-11 |
| 1427062660 | Elena Tootell | Family Medicine | Office of The Cmo, San Quentin State Prison, San Quentin, CA 94964 | 2006-07-27 |
| 1205894771 | Fouad Kiani | Dentist | 1 Main St., San Quentin, CA 94964 | 2006-05-03 |
| 1518958743 | Bradley Kenneth Deal | Psychiatry & Neurology | 13 Main St., San Quentin Prison, San Quentin, CA 94964 | 2005-11-05 |
| 1780049213 | Patricia Sweeny Toboni | Speech-Language Pathologist | 64 Main Street, #2 Rear Bldg., San Quentin, CA 94964 | 2015-12-29 |
| 1720408859 | Yan Chan | Student in an Organized Health Care Education/Training Program | 1 Main St, San Quentin, CA 94964 | 2014-04-16 |
| 1205182300 | Ashley Mowrey | Psychologist | 1 Main St, San Quentin, CA 94964 | 2012-07-26 |
| 1922308642 | Corrections and Rehabilitation | Pharmacy | 1 Main Street, San Quentin, CA 94964 | 2010-10-28 |
| 1801121637 | Christine Egan Physical Therapy Inc | Clinic/Center | 64 Main Street, Suite 2, Point San Quentin, CA 94964 | 2009-10-13 |
| Find all providers in zip 94964 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811447592 | Margaret Hanna | Nurse Practitioner | 1 Main St, San Quentin Prison, San Quentin, CA 94964-1000 | 2016-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
| 1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
| 1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
| 1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
| 1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| Find all providers with the same taxonomy | ||||
| City | SAN QUENTIN |
| Zip Code | 94964 |
Please comment or provide details below to improve the information on UCSF MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.